What and how is it treated after prostate removal

Indications for removal of the prostate

Removal of the prostate is performed in cases where conservative therapy is powerless. In most cases, this is an oncological process. Sometimes a prostatectomy is performed for benign prostatic hyperplasia. An increase in the organ due to inflammation is not a reason for surgery. The following indications for removal of the prostate are distinguished:

Cancer is considered the main indication for organ removal. Prostatectomy is performed only at stages 1 and 2 of the disease. In these cases, the oncological process is limited to prostate tissue. If the prostate is not removed in a timely manner, the cancer can spread throughout the body. The operation is performed on men under 70 years of age, since somatic pathologies are contraindications to its implementation.

Prostate adenoma leads to an increase in the organ. As a result of this disease, sexual weakness and impaired urination are noted. With the progression of benign hyperplasia and the lack of effectiveness of therapeutic methods of treatment, a prostatectomy is performed.

Methods of surgical intervention

There are several ways to remove the prostate. The choice of method depends on the prevalence of pathology. Removal of an organ can be complete or partial. Surgical options include:

Currently, less traumatic surgical procedures are preferred. These include laser removal of adenoma, transurethral resection. However, it is not possible in some cases to replace an open operation with other methods.

Removal of prostate adenoma: consequences of surgical treatment

Removal of the prostate gland is a radical treatment that comes with a number of health risks. These include complications of the early and late postoperative period. Among them - a violation of the process of urination and ejaculation. After removing prostate adenoma with a laser and transurethral resection, the risk of these complications is reduced compared to open surgery.

This operation is stressful for the whole organism. Therefore, after it, there are violations of the functioning of the genitourinary system. Normally, they gradually disappear. In 2-10% of cases, violations remain. The negative consequences of prostatectomy include:

To prevent these complications from developing, the patient's condition is monitored in the first days after prostate removal. When discharged, you should follow the recommendations of the urologist. This will help reduce the risk of late complications.

Early postoperative period

During the first days after prostatectomy, the patient's condition is severe. This is due to blood loss and changes in the functioning of the urinary organs. At this time, there is a risk of developing the following complications:

Diagnosis of early complications is carried out by medical staff in a hospital. In case of acute conditions, the help of a surgeon is required.

Recovery period after prostatectomy

The early postoperative period is several days (5-7 days). During this time, the patient's condition is normalized, there is an independent urination. However, full recovery after removal of prostate cancer or adenoma may occur only after a few months. It depends on the age of the patient, the characteristics of his body and the technique of the operation. To speed up rehabilitation and reduce the risk of late complications, the following guidelines must be observed:

After a prostatectomy, heavy objects weighing more than 3 kg should not be lifted. It is also not recommended to engage in sedentary work and drive a car. Nutrition should be fractional, with a predominance of easily digestible carbohydrates and proteins.

Restoration of urination after prostatectomy

Removal of the prostate often leads to a violation of the process of urination. In the first days after surgery, a catheter is inserted into the urethra. It is necessary for the evacuation of fluid from the bladder. The catheter is removed after a few days or weeks. Due to the weakness of the pelvic floor muscles, urination is difficult to control. But gradually the process is getting better. To speed up rehabilitation, you need to do gymnastics, spa treatment is useful.

Intimate life after prostate surgery

After 3 months after prostatectomy, the patient can start sexual activity. By this time, the pelvic muscles should recover. In some cases, patients experience retrograde ejaculation. Seminal fluid is released, but it enters the lumen of the bladder. This phenomenon is not dangerous, but it prevents conception. To get rid of this symptom, vibromassage and vacuum erectors are used. With erectile dysfunction, drugs containing sildenafil are prescribed.These include medicines "Cialis", "Viagra".

Life after prostate removal

Many men in life face problems with erectile function. There can be many factors that cause this violation.

One of the most common factors is the occurrence of prostate cancer.

With this outcome, conventional medical treatment will no longer help, in connection with this, men are referred for surgical removal of the prostate gland.

Every man is sure that after the operation he will fall in the eyes of a woman, as he will no longer bring her pleasure in bed. In fact, the removal of The prostate gland is not a sentence. The main thing is to find the problem in time and solve it quickly.

The prostate gland is one of the most vulnerable places in the male body. In the initial stages of prostate disease, ordinary drug treatment is often carried out. But there are problems much more difficult. For example, prostate cancer or Prostate adenoma. If these diseases are detected, drug treatment will not be effective, so surgical methods should be given credit.

Before carrying out such an intervention in the male body, the doctor conducts a complete examination, after which he makes a conclusion.

The main indications for the behavior of such a procedure for removing the prostate include:

• large amount of residual urine, which is related to prostate adenoma;
• all kinds of infectious diseases of the genitourinary system;
• presence of acute urinary retention in the bladder;
• renal failure;
• presence of stones in the bladder;
• hematuria;
• the presence of complications of prostate adenoma;
• actively progressing prostate cancer.

IMPORTANT! It is advisable to remove the prostate only when the tumor will not respond to other methods of treatment, in addition to surgery.

What will happen if you remove the prostate, read below.

Any man who has undergone prostate surgery is sure that he is no longer a man, he will not be able to have sex, have children and even bring pleasure to a woman in bed.

In fact, if The prostate gland is removed, only in 25% of cases out of 100% there were minor violations in Erectile function. But this is not due to surgical intervention, but to the stage at which the problem was solved. The sooner you get rid of prostate cancer, the better your men's health will be.

There are certain Consequences of prostate removal that a man should be aware of.

Consequences of prostate removal in men:

• an incontinence problem;
• inability to complete urination;
• appearance of small impurities of blood in the urine;
• appearance of an inflammatory process.

Immediately observed urinary incontinence after prostate surgery. This is due to the fact that the bladder should return to normal.

And that takes extra time. Men may notice that during the process of urination after the removal of the prostate, their bladder is not completely emptied.

This is a normal reaction, since a catheter will be installed in the bladder after the operation, through which urine will flow. After a few weeks everything should be back to normal. During the first week, you may notice small impurities of blood in the urine, this can be considered the norm, since the removed prostate will bleed for some time.

Read more about the recovery procedure here.

IMPORTANT! If you feel discomfort when large blood clots appear in your urine, and your health worsens, consult a doctor immediately!

After removing the prostate, the consequences are minimal. Depending on how long the procedure was done, further manifestations depend.

After prostate surgery - consequences:

• minor problems with erectile function;
• infertility;
• lack of ejaculation;
• permanent Urinary incontinence.

Is it possible to live without a prostate read below.

If you're worried that your sex life will end after prostate surgery, you're wrong. According to many studies that have been conducted on men who have undergone prostate surgery, the consequences of a man's sexual life are at the same level as they were before the operation. Only in some cases it can be reduced by a small amount.

After the removal of the prostate, a man can fully have sex and feel the orgasm that he felt before the removal of the prostate.The only thing that will be missing is ejaculation.

Erectile function will be the same as before the operation, and the man will be able to experience orgasms.

You should be prepared for the fact that during the first year after the operation there will be a recovering stage, during which the sexual life without a prostate will reach the desired level.

If before the operation you had problems with potency, then after the operation you may have serious problems with erection. In other cases, you will be a complete man, able to enjoy and satisfy your partner in bed.

In order for the male sex life to return to normal after the removal of the prostate, it is necessary to lead a normal lifestyle for a year or several years.

In any case, the removal of the prostate affects men's health, so some preventive measures must be taken:

After removing the prostate, you should perform a small set of exercises that will help bring the muscles of the pelvic floor back to normal.

Such exercises should include:

• exercises aimed at the perception of the muscles of the pelvis;
• exercises aimed at tensing the pelvic muscles;
• exercises aimed at relaxing the pelvic muscles.

These are the so-called Kegel exercises, which will help not only to re-develop the muscles of the pelvic floor, but also completely restore the male genitourinary system.

What can I eat after prostate removal?

To quickly restore the quality of life after prostate removal, you must follow some recommendations:

• drink plenty of fluids, especially green tea;
• increase the amount of fruits and vegetables you eat;
• avoid fatty foods in the direction of protein foods;
• you need to eat seafood at least once a week;
• avoid coffee, salty foods and fast food;
• Red meat, fried foods and alcoholic beverages should be excluded from the diet
• Eat more dairy products.

It is advisable to adhere to such a diet for several years after the operation. This will help you quickly recover your male health.

If your doctor has identified a disease that requires removal of the prostate gland, do not be afraid and agree to the operation as soon as possible. The faster you remove the prostate, the faster your genitourinary system will return to normal.

Radical prostatectomy is a surgical operation to completely remove the endocrine gland of the prostate in men.

The tissues of this organ have important functions in maintaining the quality of sperm and retaining urine, so its very removal from the genitourinary system is a huge stress for the body.

Sex after prostate removal is usually possible. However, to restore libido, both on an emotional and physical level, significant efforts are required.

Indications for removal of the prostate are malignant cancerous tumors and benign hyperplasia. Moreover, most cases occur in patients over the age of 45, when the time comes for the natural attenuation of erectile function.

Prostatectomy in any form violates the integrity of the autonomic nerves that conduct nerve impulses from the brain to the cavernous bodies of the penis and back.

Sexual attraction to a partner arises, but an erection does not occur. With such impermeability, a man is able to experience an orgasm from exposure to various erogenous zones without an erection, in particular from stimulation of the erogenous points of the perineum and anus.

Sex after prostate surgery at first can be reduced to active petting or oral, anal caresses. Recovery of potency after prostatectomy directly depends on the rate of regeneration of damaged cavernous nerves. С

Sex after removal of the prostate gland will be possible only with the treatment of regularly caused drug-induced erections.

Physical complications after prostatectomy can also be caused by nervous disorders.

Uncertainty, imaginary flaws, limited coitus techniques lead to psychogenic, and, accordingly, to organic forms of physiological disorders.

To the question of whether an intimate life is possible after a prostatectomy, doctors give a positive answer. Partial dysfunction of the male reproductive system can not only significantly limit sexual intercourse, but also surprisingly transform it.

Potency temporarily becomes dependent on drugs and effective self-satisfaction.

Statistics show that about 20% of men after prostatectomy lose urine during intercourse. Such a phenomenon can be both temporary and persist until the end of life.

Then sex with a remote prostate will require certain restrictions:

• must use a condom;
• cutting water consumption before the planned intercourse;
• mandatory urination before intercourse;
• Performing simple Physical exercises to maximize the emptying of the bladder before an erection.

Sex with a removed prostate can also be painful.

This is a common occurrence after getting rid of cancerous tumors affecting tissues adjacent to the gland. This problem is solved by taking special painkillers. Restoring an erection after complex operations on the genitourinary system is rarely without pain.

Sex with a remote prostate requires great care from a partner. A man's sexual activity after surgery will directly depend on the woman's desire to patiently stimulate her partner's erogenous zones until a full orgasm is achieved.

Sex after prostate removal, even defective, should be frequent

Intensive recovery mode

Erectile function is fully or partially restored in a year or two after surgery.

Sex after removal of prostate adenoma can become more or less complete in six months.

Quick results are "won back" with increased practice of restorative physiotherapy methods.

It is recommended to perform special physical activities, use vacuum pumps, as well as magnetic, ultrasonic, microwave and biofeedback devices. An intensive regimen of exercise and sex after removal of prostate adenoma in 95% of cases is beneficial for patients.

Intimate life is even more transformed when applied:

• erectile rings;
• thickening, lengthening vibrating nozzles;
• hollow throbbing strap-ons;
• natural and chemical pathogens.

Sex after removal of prostate adenoma will quickly become of high quality with regular training of the pelvic floor muscles. Kegel exercises for men are the main trump card in the fight against impotence.

Male strength after surgery will return faster when taking adaptogens of natural origin.

Learn how to quickly return to daily life after prostate cancer surgery:

The primary treatment of prostate adenoma consists in the use of medications, which, with a small tumor size and timely initiation of therapy, have a very good effect. If the adenoma is too large or not amenable to traditional treatment, most likely the patient will be referred for surgery, in especially advanced cases, even removal of the prostate is possible. Can a man live normally without this gland?

The prostate gland is a very important organ in the male body. It is responsible for the production of a specific fluid - prostatic secretion, which is part of the sperm and helps to prolong the life of male germ cells, as well as protect them from external influences, which greatly increases the likelihood of a successful fusion of the egg and sperm.

In shape and size, the prostate resembles a walnut, two halves and a groove separating them are easily felt in it. The prostate gland is located immediately below the bladder and is in close contact with the rectum, and the prostate covers the urethra with its tissues, so the adenoma can be recognized by altered and difficult urination.

Prostate adenoma in men, or benign prostatic hyperplasia, is a neoplasm that occurs due to abnormal cell division of the glandular tissue of the organ. The disease is characterized by the formation of one or more nodules that grow in size and compress the urethra.

In adenoma, unlike cancer, the neoplasm is benign and does not give metastases. But this does not mean that hyperplasia is not dangerous. It must be treated, first with the use of medicines, and then, if the medicines do not have the desired effect, they also resort to an operation during which the prostate adenoma is removed.

Removal of the prostate gland, the consequences of which, contrary to expectations, are not so dangerous for the body, is performed only under certain indications. First of all, traditional therapy will be applied, which in most cases helps with adenoma.

Indications for the operation to remove prostate adenoma may be as follows:

• prostate cancer;
• chronic prostatitis that is no longer treatable;
• prostate adenoma too large;
• inability to urinate normally;
• hematuria, that is, the presence of blood in the urine;
• kidney disease;
• A lot of extra weight.

Do not be afraid of surgery, especially in oncology, since life with cancer after removal of the gland can last for many years. The same applies to adenoma, neglect of which can lead to acute urinary retention and severe intoxication of the body.

Performing a prostatectomy is not possible in all cases, this operation has serious contraindications that should not be neglected:

• exacerbated diseases of the excretory and reproductive system;
• diabetes mellitus;
• diseases of the cardiovascular and respiratory systems that are in the stage of decompensation;
• diseases of hematopoiesis;
• age over 70;
• hormonal disorders, especially those related to the thyroid gland;
• presence of oncology in other organs;
• ankylosis of the hip joint, that is, its immobility.

Men who have addictions should completely stop them at least a couple of weeks before the operation, especially smoking. You also need to stop taking drugs that thin the blood, as this can lead to additional difficulties during the procedure, which will cause complications after the removal of prostate adenoma. These drugs include acetylsalicylic acid and heparin.

Globally, it is possible to divide operational methods of influencing the prostate into two large groups:

• open operations that require cutting;
• minimally invasive methods that use special equipment and are applied through the urethra.

Modern medicine offers different ways of operating on the prostate gland, these include:

• open prostatectomy;
• transurethral resection of prostate adenoma;
• Laser enucleation

The choice of the type of operation is determined by many factors, for example, the size of the adenoma, the presence of stones in the bladder, and the course of the disease.

Such an operation is currently rarely used, only for very large adenomas or the presence of stones in the urethra. This is due to the fact that with such an impact on prostate adenoma, the consequences after surgery can be unpredictable, and a long recovery in a hospital is required.

The following ways to remove an adenoma are possible:

Open surgery is now rarely used, most doctors try to use minimally invasive methods that do not require a long rehabilitation period and allow you to return to normal life as soon as possible after removal of prostate adenoma.

This method is incredibly popular because it is considered the least traumatic, the patient can continue a normal life after removing the prostate in a few days. During this operation, a resectoscope is used, which is inserted into the urethra. You should not be afraid of painful sensations, since this procedure requires epidural anesthesia, while the patient remains conscious. General anesthesia is used very rarely.

With the help of the apparatus, the affected prostate tissue is excised, as a result of which the clamped urethra is released. At the end of the operation, a liquid is supplied through the resectoscope, with the help of which the remnants of the prostate gland are removed.

This method of removal of prostate adenoma is carried out using a special holmium laser, unlike transurethral resection, during enucleation, separate sections of the prostate are husked, which form adenomatous nodules. Such an operation is even less traumatic than TUR, complications and unpleasant consequences after laser surgery to remove prostate adenoma are minimal.

Negative consequences after surgery can be divided into two parts: early and late. Early complications that appear a few days after surgery include:

• pain in the area of the scar;
• pain when urinating;
• getting into the blood of a substance with which the remnants of the excised prostate are washed away;
• blood in urine;
• pain in the lower abdomen;
• Fever after removal of an organ.

Late postoperative disorders occur when a sufficient amount of time has passed after the intervention, they include:

• retrograde ejaculation, in which sperm is not thrown out, which is not dangerous for a man, but makes fertilization difficult;
• problems with erectile function;
• involuntary urination;
• pain during sex and lack of orgasm;
• increased risk of blood clots;
• Injuries to the rectum resulting from surgery.

In order to avoid these consequences, it is necessary to see a doctor for at least a year after the removal of the gland, only in this way it is possible to predict the occurrence of complications and get rid of them in time.

Some men fear that after surgery they will not be able to have normal sex because of problems with erection. Doctors reassure patients that erectile dysfunction occurs only in 10% of patients and only if the man had problems with potency before. In all other cases, everything will be fine.

In addition, doctors recommend maintaining an active sexual life, as this will allow you to recover faster after surgery. If it is not possible to have sex, you can limit yourself to masturbation.

Surgical interventions in the prostate today have more pluses than minuses. The risk of side effects and complications is minimal if normal diagnostics were performed before the operation, and at the end of the rehabilitation period, the man can return to normal life again, both to household and sexual life.

Prostate adenoma is a benign growth of the prostate gland located around the urethra. The reasons for the development of this disease are still not fully understood. Genetic predisposition plays an important role in this disease. Most often, prostate adenoma is associated with age. The older the man, the higher the risk of prostate hyperplasia.

As with any surgical intervention, there is a risk of complications. The most common are:

• Incontinence
• Sexual abstinence.
• Weakened erection.
• No ejaculation.

Urinary incontinence after surgery is a temporary problem. Also temporary and forced is the rejection of intimate relationships.

Problems with erection occur in every tenth man who has undergone surgery. But the fact that an intimate life is impossible after that is a big mistake. You can and should continue your sex life after such an unpleasant operation.

This applies to men of all age categories. You just need to be patient. It will take several months to restore function. With a favorable course, rehabilitation occurs in 6 weeks.

The likelihood of erectile dysfunction after the intervention is minimal, but infertility may occur, as ejaculation either does not occur, or sperm enters the bladder and is excreted in the urine. Both partners need to know this and accept this fact. But this occurs only in 4-10% of cases. Proper adherence to the postoperative regimen minimizes the risk of developing such complications. The good news is that none of these troubles affects the orgasm.

In the postoperative period, a number of lifestyle requirements must be observed.

• Restricting heavy lifting.
• Plentiful drink.
• Balanced nutrition.
• Prevention of constipation.
• Don't overheat.
• Do not get cold.
• Relinquish driving.

Return to the usual way of life should take place after consultation with the doctor. Despite feeling good, rehabilitation will still take a couple of months.

To resolve the issues that arise in every man after surgery, you will need to consult a specialist. There are several methods for solving problems:

• Psychotherapy.
• Drug therapy.
• Vacuum therapy.
• Vitamin therapy.
• Diet therapy.
• Massage
• The use of mechanical devices.

All problems are in a man's head. First of all, you need to reevaluate your sex life, get rid of your own fears.

A man's self-respect should not depend on the quality of his erection. A woman, a sensitive nature, and for her a psychological attitude towards her is much more important. In sex for both partners, the main thing should be a feeling of closeness, reliability. While maintaining the mood, a certain lifestyle, success will not be long in coming.

The task for a woman remains to support her beloved in this difficult situation and correct his lifestyle.

The success of restoring intimate life depends on:

• Moods.
• Degrees of damage to the nerves responsible for erection.
• Age of the man.
• Basic data on erection quality before surgery.

With the right mood, potency is restored after 12 - 24 months in 85% of operated men. In young people, this happens faster.

First of all, you need to regain self-confidence, calm down, regulate sexual relations. Nothing terrible happened. It's a matter of time.

Medications give a short-term effect. Drugs that increase potency include drugs such as Viagra, Cialis, Levitra.The effect comes quickly and lasts up to 60 minutes.

The method of intracavernous injections is based on microinjections of drugs into the genital organ before sex. This method has become the most common and most effective among conservative treatments for erectile dysfunction. For treatment, "Prostaglandin", "Alprostadil" are used. The same drugs can be used in the form of suppositories that are injected into the urethra before sexual intercourse.

Massage or self-massage of the pelvis and pubic bone has a beneficial effect on vascular tone in the male genital area. Regular procedures improve the blood supply to the pelvic organs and increase erection.

Vacuum therapy - this type of treatment is based on the use of special medical devices that work on the principle of a pump that is able to pump blood into the male genital organ. Vacuum therapy does not provide a long-term effect and is used as a situational aid.

Implants in the male penis are also used, but in this case, unwanted complications may occur.

The effectiveness of treatment mainly depends on the healthy lifestyle of a man after surgery. Physical exercises that strengthen the muscles of the pelvic floor, healthy sleep, giving up bad habits, proper nutrition, vitamin therapy, normalizing the daily routine will help you get back on track faster.

A diet is recommended, aimed at strengthening blood vessels in the body. It is advisable to replace fatty meat with fish, poultry, seafood. Eat plenty of vegetables rich in vitamin A, especially carrots. Nuts should become a favorite dish.

The proven way is herbal treatment. You can use almost everything that grows in the garden, forest and meadows. Suitable for this and mint, and nettle, and knotweed, and calendula, and chamomile. Decoctions are prepared from them, tinctures are made.

Stir, close the lid and refrigerate for a week. Strain. Drink one teaspoon three times daily before meals for a week. Then increase the dose of balm to the size of a tablespoon, but drink for at least a month.

The main thing to remember is to visit your doctor in a timely manner.

Removal of the prostate indications, preparation and conduct of the operation, consequences and restoration of potency

The consequences of such pathologies of the male genitourinary system, such as adenoma, may lead to the need to remove the prostate. The operation to remove the prostate gland does not carry the risk of death, but there is a possibility of postoperative complications affecting the quality of life. The surgical path is often the only way to avoid the severe development of the disease. Find out information that will help you make the right decision, mentally prepare for prostate surgery and get an idea of the prospects for post-operative recovery.

What is prostate removal

Prostatectomy is a surgical operation to remove the prostate or part of it. The gland secretes a special secret that stimulates the motor activity of spermatozoa and prolongs their viability outside the male body. The prostate significantly increases the chances of natural fertilization. Organ removal does not mean automatic infertility. Modern surgery involves several operating techniques. The choice of the most effective method is individual and remains at the discretion of the attending physician and the patient.

Indications for deletion

Surgical intervention is always an extreme measure, which medicine sanctions only if, against the background of a progressive disease, all methods of conservative therapy have exhausted themselves and have not brought a satisfactory result. Patients enter the operating table due to the following reasons:

Adenoma removal methods

Surgery has developed several methods of prostatectomy. All of them are in use today. When choosing, the patient's age, comorbidities, stage of the disease and PSA levels in the blood (prostate specific antigen) are taken into account. The qualification of the surgeon is of great importance. There is the following choice of method of surgical intervention:

How is prostate surgery done

In the preoperative period, you must strictly follow all the recommendations of the doctor. It is necessary to stop taking medications that thin the blood (Clopidogrel, Warfarin, Aspirin and others). Preoperative preparation is individual depending on the chosen method of operation. To get a complete picture of the patient's condition before surgery, the attending physician may prescribe a number of tests:

• PSA analysis;
• transurethral ultrasound;
• biopsy (at the discretion of the doctor);
• rectal digital examination.